Ontario Paramedic Medical Directives
Exam Questions & Answers (Grade
A+)
Contraindications of Ketorolac -
correct answer ✅- Allergy or Sensitivity
- Use within 6hrs (NSAID or ibuprofen)
- Anticoagulation Therapy
- Current Active Bleed
- Peptic Ulcer or GI Bleed
- Pregnant
- Asthmatic with no prior use
- CVA or TBI in last 24hrs
- Known renal impairment
- Suspected Ischemic Chest Pain
- Renal Impairment
Contraindications of Ibuprofen -
correct answer ✅- Use within 4hrs
- Allergy or Sensitivity
- Active Bleed
- Renal Impairment
- Pregnant
,Ontario Paramedic Medical Directives
Exam Questions & Answers (Grade
A+)
- Asthmatic with no prior use
- Peptic Ulcer or GI bleed
- CVA or TBI in last 24 hrs
- Active vomiting
Contraindications of Acetaminophen -
correct answer ✅- Allergy or Sensitivity
- Use within 4hrs
- Liver disease
- Active vomiting
- Unable to tolerate oral medication
- suspected ischemic chest pain
Dosage of Acetaminophen 12yrs - <18 -
correct answer ✅PO 500-650 one time
Dosage of Acetaminophen =/> 18 -
correct answer ✅PO 960-1000 one time
, Ontario Paramedic Medical Directives
Exam Questions & Answers (Grade
A+)
Dosage Ibuprofen -
correct answer ✅12years, PO 400mg once only
What are the indications for bronchoconstriction? -
correct answer ✅Presence of respiratory distress, suspected
bronchoconstriction
What are the conditions of providing epinephrine for suspected
bronchoconstriction? -
correct answer ✅BVM ventilations required, and a Hx of Asthma
What is the minimum age requirement to administer Salbutamol? -
correct answer ✅there is no age requirement
What is the dosage of Salbutamol via MDI for a 7 year old child? -
correct answer ✅(agex2)+10 = 24kg/ <25kg is 6 puffs (600mcg) in
1 dose, max of three times prn q 5-15mins
What is the dosage of salbutamol for anyone over 25kg? -
correct answer ✅8 puffs (800mcg)/dose for a max of three doses
prn 5-15mins
Exam Questions & Answers (Grade
A+)
Contraindications of Ketorolac -
correct answer ✅- Allergy or Sensitivity
- Use within 6hrs (NSAID or ibuprofen)
- Anticoagulation Therapy
- Current Active Bleed
- Peptic Ulcer or GI Bleed
- Pregnant
- Asthmatic with no prior use
- CVA or TBI in last 24hrs
- Known renal impairment
- Suspected Ischemic Chest Pain
- Renal Impairment
Contraindications of Ibuprofen -
correct answer ✅- Use within 4hrs
- Allergy or Sensitivity
- Active Bleed
- Renal Impairment
- Pregnant
,Ontario Paramedic Medical Directives
Exam Questions & Answers (Grade
A+)
- Asthmatic with no prior use
- Peptic Ulcer or GI bleed
- CVA or TBI in last 24 hrs
- Active vomiting
Contraindications of Acetaminophen -
correct answer ✅- Allergy or Sensitivity
- Use within 4hrs
- Liver disease
- Active vomiting
- Unable to tolerate oral medication
- suspected ischemic chest pain
Dosage of Acetaminophen 12yrs - <18 -
correct answer ✅PO 500-650 one time
Dosage of Acetaminophen =/> 18 -
correct answer ✅PO 960-1000 one time
, Ontario Paramedic Medical Directives
Exam Questions & Answers (Grade
A+)
Dosage Ibuprofen -
correct answer ✅12years, PO 400mg once only
What are the indications for bronchoconstriction? -
correct answer ✅Presence of respiratory distress, suspected
bronchoconstriction
What are the conditions of providing epinephrine for suspected
bronchoconstriction? -
correct answer ✅BVM ventilations required, and a Hx of Asthma
What is the minimum age requirement to administer Salbutamol? -
correct answer ✅there is no age requirement
What is the dosage of Salbutamol via MDI for a 7 year old child? -
correct answer ✅(agex2)+10 = 24kg/ <25kg is 6 puffs (600mcg) in
1 dose, max of three times prn q 5-15mins
What is the dosage of salbutamol for anyone over 25kg? -
correct answer ✅8 puffs (800mcg)/dose for a max of three doses
prn 5-15mins
